Individual
JOHN ROBERT GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.L.P.
Contact information
Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345
Mailing address
1049 E NEWELL ST, P.O. BOX 867, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301010999
MI
Other
Enumeration date
11/19/2008
Last updated
06/17/2013
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